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    What should I watch for while taking this medicine? If you notice any changes in your vision while taking this drug, call your doctor or health care professional as soon as possible.
    This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
    Sildenafil Citrate and Fluoxetine tablet What is this medicine? SILDENAFIL; FLUOXETINE is known to help in treatment of impotence and premature ejaculation. Antidepressants of the SSRI (selective serotonin and norepinephrine reuptake inhibitors) class including fluoxetine have long been used off-label to delay orgasms. The product is fairly new and became available in early 2010.
    You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
    Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help.
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    Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): blurred vision; change in appetite; diarrhea; flushing; headache; indigestion; nausea; stuffy or runny nose;
    Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks. Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.
    You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
    This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
    What may interact with this medicine? Do not take this medicine with any of the following: cisapride; methscopolamine nitrate; nitrates like amyl nitrite, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin; nitroprusside; other sildenafil products (Revatio); other medicines containing fluoxetine, like Sarafem or Symbyax; certain diet drugs like dexfenfluramine, fenfluramine, phentermine; cisapride; medicines called MAO Inhibitors like Carbex, Eldepryl, Marplan, Nardil, and Parnate; pimozide; procarbazine; St. John's wort; thioridazine; tryptophan;
    Contact you doctor or health care professional right away if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of a serious problem and must be treated right away to prevent permanent damage.
    This medicine may cause an increase in blood pressure. Check with your doctor or health care professional, you may be able to measure your own blood pressure and pulse. Find out what your blood pressure and heart rate should be and when you should contact him or her.
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    If you experience symptoms of nausea, dizziness, chest pain or arm pain upon initiation of sexual activity after taking this medicine, you should refrain from further activity and call your doctor or health care professional as soon as possible.
    What side effects may I notice from this medicine? Side effects that you should report to your doctor or health care professional as soon as possible: allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue; breathing problems; changes in hearing; changes in vision, blurred vision, trouble telling blue from green color; chest pain; fast, irregular heartbeat or changes in blood pressure; fever; prolonged or painful erection (lasting more than 4 hours); seizures; stomach flu-like symptoms of diarrhea, vomiting; suicidal thoughts or other mood changes; unusual bleeding or bruising;
    Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): blurred vision; change in appetite; diarrhea; flushing; headache; indigestion; nausea; stuffy or runny nose;
    This medicine may also interact with the following: certain drugs for high blood pressure; certain drugs for the treatment of HIV infection or AIDS; certain drugs used for fungal or yeast infections, like fluconazole, itraconazole, ketoconazole, and voriconazole; cimetidine; erythromycin; rifampin; alcohol; aspirin and aspirin-like medicines; carbamazepine; cyproheptadine; dextromethorphan; flecainide; lithium; medicines for diabetes; medicines for migraine headache, like sumatriptan; medicines for sleep; medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin; metoprolol; NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen; phenytoin; propafenone; propranolol; vinblastine;
    Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks. Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.
    This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
    Using this medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.
    You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
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